Organization
FARAG A MANKARIOS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MANKARIOS (ADMINISTRATOR)
(732) 863-5515
Entity
Organization
Contact information
Practice address
410 ROUTE 34 STE 216, COLTS NECK, NJ 07722-2519
(732) 863-5515
Mailing address
PO BOX 32, MARLBORO, NJ 07746-0032
(732) 863-5515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07048000
NJ
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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